PDF(Pubmed)
Abstract：
Stroke, a major cause of disability worldwide, necessitates comprehensive rehabilitation, with nutrition playing a pivotal role in recovery. Our systematic review assesses the impact of nutritional interventions on stroke survivors\' rehabilitation. Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched PubMed, Embase, Web of Science, and Scopus, using keywords related to stroke rehabilitation and nutrition. Studies were selected based on criteria emphasizing dietary interventions and their effect on functional recovery in stroke patients. The review involved detailed data extraction and synthesis, covering study design, participant characteristics, interventions, and outcomes. Five studies met our inclusion criteria, encompassing longitudinal and prospective studies, retrospective cohorts, and randomized controlled trials. These studies highlighted the importance of early nutritional assessment, particularly for sarcopenic patients, and the role of energy and protein intake soon after a stroke. Findings indicated high nutritional risk correlated with poorer functional outcomes and increased inflammation. Tailored dietary support appeared beneficial for muscle mass maintenance and overall functional recovery, especially in older patients. Our review emphasizes the critical role of nutritional interventions in stroke rehabilitation. It suggests that personalized nutritional strategies can positively impact functional recovery, notably in older and nutritionally vulnerable stroke survivors. These insights underscore the necessity of integrating dietary assessments and interventions into standard stroke rehabilitation protocols, advocating a holistic approach to patient care.
摘要：
Stroke,全世界残疾的主要原因，需要全面康复，营养在恢复中起着关键作用。我们的系统评价评估了营养干预对卒中幸存者康复的影响。坚持系统审查和荟萃分析(PRISMA)指南的首选报告项目，我们系统地搜索了PubMed,Embase,WebofScience,还有Scopus,使用与中风康复和营养相关的关键词。根据强调饮食干预及其对中风患者功能恢复的影响的标准选择研究。综述涉及详细的数据提取和综合，涵盖研究设计，参与者特征，干预措施，和结果。五项研究符合我们的纳入标准，包括纵向和前瞻性研究，回顾性队列，和随机对照试验。这些研究强调了早期营养评估的重要性，特别是对于少肌症患者，以及中风后不久能量和蛋白质摄入的作用。研究结果表明，高营养风险与较差的功能结局和炎症增加相关。量身定制的饮食支持似乎有利于肌肉质量维持和整体功能恢复。尤其是老年患者。我们的综述强调了营养干预在卒中康复中的关键作用。这表明个性化营养策略可以积极影响功能恢复，尤其是老年和营养脆弱的中风幸存者。这些见解强调了将饮食评估和干预措施纳入标准卒中康复方案的必要性。倡导全面的病人护理方法。
